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Intracoronary Ultrasound Imaging

  • Chapter
Coronary Circulation and Myocardial Ischemia

Part of the book series: Update in Intensive Care Medicine ((UICMSOFT,volume 32))

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Abstract

Intracoronary ultrasound (ICUS) imaging uses miniaturized transducers at the tip of catheters to supply tomographic, cross-sectional images of coronary arteries [1, 2]. ICUS provides detailed information not only on the degree of arterial stenosis but also on the atherosclerotic lesions and the vessel wall [3]. The traditional angiographic approach used to evaluate coronary artery disease has well-known limitations. One shortcoming is that coronary angiography provides only a planar perspective of the arterial lumen. Depiction of the coronary lumen, and not the wall, is another important limitation of angiography, atherosclerosis being primarily a disease of the arterial wall. The severity of stenosis may be underestimated by angiography because the reference segment used to quantitate the lesion is involved in the diffuse atherosclerotic process. In addition, the composition and morphology of atherosclerotic lesions, which cannot be assessed with angiography, are major determinants of the clinical expression of coronary atherosclerosis and of the response to percutaneous interventions.

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Authors
  1. J.-C. Tardif
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  2. J. Grégoire
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Editor information

Editors and Affiliations

  1. University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA

    Michael R. Pinsky MD, CM, FCCP, FCCM (Director of Research Division of Critical Care Medicine Professor of Anesthesiology and Critical Care Medicine) (Director of Research Division of Critical Care Medicine Professor of Anesthesiology and Critical Care Medicine)

  2. Department of Cell Biology and Physiology, Autonomous University, Barcelona, Spain

    Antonio Artigas MD, PhD (Director of Critical Care Center Sabadell Hospital Associate Professor) (Director of Critical Care Center Sabadell Hospital Associate Professor)

  3. Paris, France

    Jean-Francois Dhainaut MD, PhD (Director of Medical Intensive Care Unit Dean of Cochin Port-Royal Medical School Vice-President of Paris University) (Director of Medical Intensive Care Unit Dean of Cochin Port-Royal Medical School Vice-President of Paris University)

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© 2002 Springer-Verlag Berlin Heidelberg

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Tardif, JC., Grégoire, J. (2002). Intracoronary Ultrasound Imaging. In: Pinsky, M.R., Artigas, A., Dhainaut, JF. (eds) Coronary Circulation and Myocardial Ischemia. Update in Intensive Care Medicine, vol 32. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57212-8_11

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  • DOI: https://doi.org/10.1007/978-3-642-57212-8_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-42588-5

  • Online ISBN: 978-3-642-57212-8

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